| NPI | 1376864132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: AL 0806) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: AL 0806) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |